HENDERSONVILLE HOSPITAL CORPORATION (NPI# 1750323218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750323218 |
| Entity Type | Organization |
| Organization Name | HENDERSONVILLE HOSPITAL CORPORATION |
| Other Organization Name | PORTLAND MEDICAL CENTER |
| Practice Address |
105 Redbud Dr Portland TN 37148-1673 |
| Mailing Address |
Po Box 277463 Atlanta GA 30384-7463 |
| Practice Telephone | 6153257301 |
| Practice Fax Number | 6153251207 |
| Mailing Telephone | 6153251206 |
| Mailing Fax Number | 6153251207 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL MORRISON (CFO) |
| Authorized Official Telephone | 6153381100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 1000118 | 01 |
| TN | TNCARE SELECT | 1000118 | 01 |
| AETNA | 0063022 | 01 | |
| TN | CIGNA | 0699930 | 01 |
| UNITED HEALTHCARE | 5000036 | 01 |
| Other Name | Type Code |
|---|---|
| PORTLAND MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285800326 | Hendersonville Hospital Corporation | Psychiatric Unit | 355 New Shackle Island Road, Hendersonville, TN 37075-2300 | 2008-05-07 |
| 1962449926 | Hendersonville Hospital Corporation | General Acute Care Hospital | 355 New Shackle Island Rd, Hendersonville, TN 37075-2300 | 2006-05-31 |
| 1538114434 | Hendersonville Hospital Corporation | General Acute Care Hospital | 355 New Shackle Island Rd, Hendersonville, TN 37075-2300 | 2006-05-23 |
| Street Address |
105 REDBUD DR |
| City | PORTLAND |
| State | TN |
| Zip Code | 37148-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639127137 | Emcare Physician Providers, Inc. | Emergency Medicine | 105 Redbud Dr, Portland, TN 37148-1673 | 2006-05-05 |
| 1316305410 | Salient Emergency Physicians, Pllc | Physician Assistant | 105 Redbud Dr, Portland, TN 37148-1673 | 2016-02-03 |
| 1962860064 | Red Spruce Emergency Physicians, Pllc | Physician Assistant | 105 Redbud Dr, Portland, TN 37148-1673 | 2016-02-03 |
| 1700214855 | N Middle Tn Emergency Physicians Pllc | Emergency Medicine | 105 Redbud Dr, Portland, TN 37148-1673 | 2013-10-29 |
| 1992133235 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 105 Redbud Dr, Portland, TN 37148-1673 | 2013-10-23 |
| 1851563019 | Nicole Beall Jaques | Emergency Medicine | 105 Redbud Dr, Emergency Department, Portland, TN 37148-1673 | 2008-03-27 |
| 1386739142 | American Orthopedics and Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 105 Redbud Dr, Portland, TN 37148-1673 | 2006-10-04 |
| 1528070562 | Tucker Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 105 Redbud Dr, Portland, TN 37148-1673 | 2006-08-11 |
| 1568401420 | Emergency Physicians of Portland, Pllc | Emergency Medicine | 105 Redbud Dr, Portland, TN 37148-1673 | 2006-06-06 |
| 1255389763 | Athens Emergency Physicians | Emergency Medicine | 105 Redbud Dr, Portland, TN 37148-1673 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1487903696 | Jennifer Leigh Toney | Registered Nurse | 101 Maurice Ct, Portland, TN 37148 | 2012-09-04 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1003090036 | State of Tennessee | Public Health or Welfare | 214 West Longview Drive, Portland, TN 37148 | 2007-12-27 |
| 1437256930 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 A S Broadway Ste A, Portland, TN 37148 | 2006-09-20 |
| 1568494243 | Melissa R Cook | Nurse Practitioner | 932-b South Broadway, Portland, TN 37148 | 2006-07-06 |
| 1225200306 | Lisa Nazarenus | Nurse Practitioner | 307 S Broadway, Portland, TN 37148 | 2008-03-28 |
| 1770523748 | Jason A Bruns | Physical Therapist | 121 Village Dr, 103, Portland, TN 37148 | 2006-06-07 |
| 1841350196 | Edward Freeman Kirkpatrick Jr. | Dentist | 307 Reed St, Portland, TN 37148-0410 | 2006-12-09 |
| Find all providers in zip 37148 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447665526 | Linda Damaskos | General Acute Care Hospital | 310 Nw Upyown Terrace, 2a, Portland, OR 97210 | 2014-06-26 |
| 1093132946 | Mercy Hospital | General Acute Care Hospital | 175 Fore River Pkwy, Portland, ME 04102-2779 | 2014-03-27 |
| 1003246174 | Rebecca Changizian | General Acute Care Hospital | 2929 Ne 25th Ave, Portland, OR 97212-3460 | 2013-11-26 |
| 1679879662 | Veterans Hospital | General Acute Care Hospital | 3710 S.w. U.S. Veterans Road, Portland, OR 97239-2964 | 2011-02-08 |
| 1083866933 | Providence St Vincent Hospital | General Acute Care Hospital | 1235 Ne 47th Ave, Suite 285, Portland, OR 97213-2100 | 2008-10-22 |
| 1205024387 | Vetrans Administration | General Acute Care Hospital | 6215 Ne Broadway St, Portland, OR 97213-4713 | 2007-10-14 |
| 1235337551 | Kalei Renae Kadau | General Acute Care Hospital | 1717 Sw Park Ave Apt 813, Portland, OR 97201-3240 | 2007-07-08 |
| 1134242506 | Portland Veterans Affairs Medical Center | General Acute Care Hospital | 5430 Sw Cameron Rd, Portland, OR 97221 | 2007-04-09 |
| 1487788147 | Portland Va Medical Center | General Acute Care Hospital | 5404 Sw Vermont St, Portland, OR 97219-1034 | 2007-03-15 |
| 1457436248 | Kathleen M Hamel | General Acute Care Hospital | 3710 Se Us Veterans Hospital Rd, Portland, OR 97207-9823 | 2006-10-27 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.